Organization
GENERAL LONG ISLAND EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DMITRY VAYNER (MEMBER)
(718) 373-2020
Entity
Organization
Contact information
Practice address
358 BROADWAY MALL STE 371A, HICKSVILLE, NY 11801-2709
(516) 938-0055
Mailing address
187 AVENUE U, BROOKLYN, NY 11223-3741
(718) 373-2020
(718) 373-9805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/19/2024
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